SynthesisBMC pregnancy and childbirth2025
Preference of mode of delivery and associated factors among mothers in East Africa: systematic review and meta-analysis.
Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Tetanus toxoid vaccination coverage and associated factors among pregnant women in East Africa: systematic review and meta-analysis.BMC public health · 2025Pooled it
- Article
- The mediating role of fetal health anxiety in the relationship between fear of childbirth and preferred mode of delivery among pregnant women.BMC pregnancy and childbirth · 2026Article
- Determinants of the choice of delivery mode in pregnant women: a convergent parallel mixed-methods study protocol.BMJ open · 2026Article
- Investigating the effect of an educational intervention based on the theory of planned behavior on the choice of delivery method among primiparous women.BMC pregnancy and childbirth · 2025Article
- Article
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Authors and funding
7 authors.
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Abstract
introductionPreference of mode of delivery refers to the expectant mother's personal choice or preference for the method by which she would like to have her baby delivered. Although there are many fragmented primary studies on the preference of mode of delivery among women in East Africa, the pooled preference rate is unknown. In addition, those studies disagreed on reporting the associated factors. Therefore, this study was intended to determine the pooled preference for mode of delivery and its associated factors among women in East Africa.
methodWe searched studies using PubMed, Scopus, Embase, Science Direct, and Google Scholar that were published between March 01/2014 and March 31/2024. This study used the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The quality of studies was evaluated using the modified Newcastle-Ottawa quality assessment tool. The data were extracted by two authors independently using Microsoft Excel and analyzed by Stata version 17. A random effects model was applied to calculate the pooled preference for mode of delivery and its associated factors. The PROSPERO registration number for the review was CRD42024541921.
resultsA total of 14 studies comprising 47,561 participants were involved in this meta-analysis. The pooled preference of vaginal delivery and cesarean delivery were 75% ((95% C.I = 67 - 83%) and 25% (95% C.I = 17 - 34%), [Formula: see text]respectively. This study showed that ANC-follow (OR= 1.11; 95% CI=0.67-1.82), previous intrapartum satisfaction (OR= 2.69; 95% CI = 0.53-13.64), place of residence (OR= 1.10; 95% CI = 0.86-1.42), occupation (P=0.000; OR= 0.97; 95% CI=0.67-1.42), planned pregnancy (OR= 1.89; 95% CI=1.26-2.82), previous history of spontaneous abortion (OR= 2.30; 95% CI=0.71-7.44), current pregnancy related problem (OR= 3.86; 95% CI=1.37-10.84), discussion with a partner (OR= 0.67; 95% CI=0.35-1.27), types of the hospital (OR= 1.13; 95% CI = 0.65-1.94) were significant factors associated with preference of mode of delivery.
conclusionThe preference for vaginal delivery was higher than for cesarean delivery. Factors such as antenatal care follow-up, previous intrapartum satisfaction, place of residence, occupation, planned pregnancy, prior history of spontaneous abortion, maternal education, current pregnancy-related problems, discussion with partner, and types of hospital were significantly associated. The findings of this study imply a multifaceted approach is required.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.